NPI | 1184262008 |
---|---|
Former Name | CAITLIN PUNTEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH 025471) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 025471) |
Enumeration Date | 2019-12-11 |
Last Update Date | 2021-08-20 |